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Utah rates for HCPCS Q4021

Cast supplies, short arm splint, adult (11 years +), plaster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.59 / $6.59 / $6.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.45 / $7.24 / $21.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.44 / $3.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.85 / $7.48 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $5.89 / $5.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.80 / $3.57 / $5.95